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NEVADA TREATMENT CENTER NPI 1053491977


NPI Information

NPI: 1053491977
Provider Name: NEVADA TREATMENT CENTER
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
1721 EAST CHARLESTON
LAS VEGAS, NV
ZIP 89104
Phone: (702) 382-4226
Get Directions

NEVADA TREATMENT CENTER is a methadone clinic center in Las Vegas, NV. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. NEVADA TREATMENT CENTER NPI is 1053491977. The provider is registered as an organization entity type.

The provider's business location address is:

1721 EAST CHARLESTON
LAS VEGAS, NV
ZIP 89104
Phone: (702) 382-4226
Fax: (702) 382-4031

The provider's authorized official is Julie Payne .
The authorized official title is Ceo and has the following contact phone number (702) 382-4226.

The enumeration date for this NPI number is 10/16/2006 and was last updated on 4/17/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityRCE004-457NEVADANo
2261QM2800XClinic/CenterMethadone2567NTC-13NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1001702100MEDICAIDNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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